| NPI | 1477199321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WASHINGTON Rcm Manager 850-459-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-08-27 |